SHANELL L MANIBUSAN

ALEXANDRIA, VA
NPI1689451460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131002889)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
SHANELL L MANIBUSAN COTA
2729 KING ST
ALEXANDRIA, VA 22302-4008
Phone number: 703-836-8838
Mailing Address
SHANELL L MANIBUSAN COTA
9235 SOLDIER RD
FORT BELVOIR, VA 22060-1617
Phone number: 210-885-0500
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